Provider Demographics
NPI:1932979580
Name:CHIE TAKAHASHI, LCSW, LLC
Entity Type:Organization
Organization Name:CHIE TAKAHASHI, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAKAHASHI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-450-8828
Mailing Address - Street 1:PO BOX 502
Mailing Address - Street 2:
Mailing Address - City:KILAUEA
Mailing Address - State:HI
Mailing Address - Zip Code:96754-0502
Mailing Address - Country:US
Mailing Address - Phone:808-450-8828
Mailing Address - Fax:
Practice Address - Street 1:6751M KOOLAU ROAD
Practice Address - Street 2:
Practice Address - City:KILAUEA
Practice Address - State:HI
Practice Address - Zip Code:96754-0502
Practice Address - Country:US
Practice Address - Phone:808-450-8828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)